Organizational factors in prevention and investigation of aviation safety
The safe operations of complex systems demand the exploitation of safety management approaches for the prevention of accidents. This involves the elaboration of proactive measures and of reactive measures. Human Factors (HF) is a crucial issue for the safety of complex systems; in order to be effective, the proactive and reactive measures of safety management systems have to focus on HF. In particular, proactive measures have to concentrate on training, on design of procedures and of protection and advisory systems, while reactive measures need to focus on accurate analysis of real accidents and incidents, aiming at the evaluation of the root causes of inappropriate human behaviour. It has been shown that the influence of organizational factors is very large, as any failure at the top level of the Organization affects a very high number of active decisions and behaviours at the level of the actors in command of the system. The consistency and coherence between proactive and reactive measures are essential and can be achieved by applying the same data structures and methods for representing the accident evolution. In this paper, the requirements on the data structures and on the methods will be further expanded, focusing on organizational factors and on their role in the development of a tool for the analysis of human errors and in the adaptation of a training course to the safety culture of a company.
Bibliographic Reference: Paper presented : Third ICAO Global Flight Safety and Human Factors Symposium, Auckland (NZ), April 9-12, 1996
Availability: Available from (1) as Paper EN 39677 ORA
Record Number: 199610952 / Last updated on: 1996-09-30
Original language: en
Available languages: en